Sexual and Reproductive Health Services Research and Evaluation

The Philip R. Lee Institute for Health Policy Studies (PRL-IHPS) seeks to improve access to quality, affordable sexual and reproductive health (SRH) services through basic and applied research and program evaluation. Our work includes the analysis of federal, state, and local policies affecting the provision of SRH services, as well as the evaluation of SRH programs.

Current Projects

The Family Planning, Access, Care and Treatment (Family PACT) Program is administered by the California Department of Public Health, Office of Family Planning (OFP) and has been operating since 1997 to provide family planning and reproductive health services at no cost to California’s low-income residents of reproductive age. The program offers comprehensive family planning services including contraception, pregnancy testing, and sterilization as well as sexually transmitted infection testing and limited cancer screening services. By serving residents with a gross family income at or below 200% of the federal poverty guideline with no other source of coverage for family planning services, Family PACT fills a critical gap in health care. In FY 2013-14, Family PACT served over 1.6 million low-income men, women, and adolescents.

UCSF through its Bixby Center for Global Reproductive Health and PRL-IHPS provides OFP with ongoing program monitoring and evaluation of Family PACT. Family PACT products include: an annual report based on enrollment and claims data that describes provider and client populations, services utilized, fiscal issues, and county-level characteristics; reports on quality of clinical care, adherence to Family PACT Program Standards, provider referral practices, and the cost-benefit of the program, among other topics. Findings from the evaluations are reported periodically in study-specific reports, policy briefs and research summaries. Report findings can be found on the Family PACT website.  

Confidential & Covered

PRL-IHPS works in collaboration with the National Family Planning & Reproductive Health Association (NFPRHA), The George Washington University’s Milken Institute School of Public Health, and the Center for Adolescent Health and Law to respond to the challenge of confidentiality in the context of a changing health care delivery environment.  Confidential & Covered is funded by the Office of Population Affairs (OPA) to understand the impact of the Affordable Care Act (ACA) on Title X providers. The research project seeks to understand the internal and external factors that may prevent or support the ability of Title X providers to be reimbursed for the full range of services they provide. Over three years, the project will study how Title X providers currently seek reimbursement for patients in need of private payment, the legal framework that shapes consumer communications (such as explanation of benefits) policies, and promising approaches to help providers mitigate revenue loss due to the provision of confidential services. For more information, see the project website.

Health Insurance Churning among Young Californians

Although the Affordable Care Act (ACA) has improved health insurance coverage for young adults ages 19-34, there is little information about their fluctuations in insurance coverage (“churning”). With funding from The California Wellness Foundation, PRL-IHPS is conducting a study to contribute new policy-relevant evidence on health insurance churning among young Californians.  Using key informant interviews, case studies, and analysis of data from the California Health Interview Survey (CHIS), we are developing policy recommendations and strategies for reducing the negative impact of churning on young adults’ access to care in California, particularly sexual and reproductive health services and behavioral health services.

Select Past Projects and Publications

California’s Confidential Health Information Act (SB 138)

Protecting Adolescent Confidentiality under Health Care Reform

Sensitive Health Care Services in the Era of Electronic Health Records

A Shifting Health Landscape for Adolescents and Young Adults

Contact

Claire D. Brindis, DrPH
Director, Philip R. Lee Institute for Health Policy Studies
Caldwell B. Esselstyn Chair in Health Policy
Professor of Pediatrics and Health Policy
Department of Pediatrics and Department of Obstetrics, Gynecology, and Reproductive Health Sciences
claire.brindis@ucsf.edu

Jennifer Yarger, PhD
Project Director
Philip R. Lee Institute for Health Policy Studies
jennifer.yarger@ucsf.edu